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Massachusetts rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.80 / $1.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $11.11 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.23 / $1.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.19 / $1.19 / $3.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.19 / $1.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.10 / $1.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.10 / $1.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.58
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.91 / $1.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.91 / $1.79